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return true; } //]]> </script> <div class="aspNetHidden"> <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="8CAEDFE0" /> <input type="hidden" name="__VIEWSTATEENCRYPTED" id="__VIEWSTATEENCRYPTED" value="" /> </div> <script type="text/javascript"> //<![CDATA[ Sys.WebForms.PageRequestManager._initialize('ScriptManager1', 'form1', [], [], [], 90, ''); //]]> </script> <!--begin wrapper--><main id="wrapper"><!--begin header--> <div id="masthead"><!--begin branding--> <section id="branding"> <div class="container"> <div class="row"> <div id="logo" class="g-12 remove-bottom"><p><a href="https://www.scripps.org/"><img alt="Scripps Logo" height="39" src="https://donate.scripps.org/image/scripps-logo.svg" width="160" /></a></p> </div> </div> </div> </section> <!--end branding--></div> <!--end header--><!--begin page intro--> <section id="page-intro"> <div class="container"> <div class="row"> <div class="g-12 remove-bottom"> <h1>Scripps Health Foundation</h1> </div> </div> </div> </section> <!--end page intro--><!--begin content--> <section id="content"> <div class="container"> <div class="row"> <aside id="content-side" class="g-4 remove-bottom"> <div class="row"> <div class="g-12 add-bottom"> <p><img height="200" src="https://donate.scripps.org/image/hugv3.jpg" width="300" /></p> <p>Donate Today</p> <p><span style="font-size: 12pt;">Your generosity and support ensure that Scripps continues to provide high-quality, compassionate care to those in need. Together, we can improve the health of our community — today and for generations to come.</span></p> <div class="contact"> <h2 class="remove-top">Contact Us</h2> <p><span class="fas fa-phone"></span> <a href="tel:+18444424483">844-442-GIVE</a> (4483)<br><span class="fas fa-envelope"></span> <a href="mailto:SHF@scrippshealth.org">SHF@scrippshealth.org</a></p> <p class="remove-bottom">If you prefer to make your donation by check, please mail to the address below:<br><br>Scripps Health Foundation<br>PO Box 2669<br>La Jolla, CA 92038</p> </div> </div> </div> <div class="row">聽</div> </aside> <div id="content-main" class="g-8 remove-bottom"> <div class="row"> <div class="g-12 add-bottom"><div id="PC2336_ctl00_Container" class="BBDonationApiContainer" data-partid="934" partid="0" cnstType="False" serverMonth="11" serverDay="22" serverYear="2024" ClientSitesID="1"> <!-- amounts --> <span id="amount-buttons" class="hidden">$50/$100/$250/$500/$1,000/$2,500/$5,000/$7,500/$10,000</span> <span id="selected-amount" class="hidden">100</span> <!-- designations --> <span id="designation-query" class="hidden"></span> <!-- options --> <span id="page-name" class="hidden"></span> <span id="appeal-id" class="hidden">618ac3e5-15b6-413c-9ce9-069d50dd0983</span> <span id="source-code" class="hidden">618ac3e5-15b6-413c-9ce9-069d50dd0983</span> <span id="default-country" class="hidden">00cb6cdb-f6cf-44e2-9c73-51ddf7965d8f</span> <!-- tribute --> <span id="tribute-option" class="hidden">true</span> <span id="tribute-id" class="hidden"></span> <!-- adf --> <div id="adfWrapper"> <fieldset class="form-group"> <legend><h3 class="remove-top">Donation Details</h3></legend> <div id="amounts" class="button-group hidden"> <label for="other" class="btn"> <input id="other" class="sr-only" name="amt" type="radio" /> Other </label> </div> <div id="amountSection"> <label for="otherAmount" class="adfFormLabel">Enter an amount</label> <input id="otherAmount" class="adfInput form-control required" type="number" min="5.00" max="50000.00" step="any" placeholder="Enter an Amount" required="" /> </div> <div id="presCouncil" class="hidden"> <p class="note"><span class="fas fa-info-circle"></span>With a donation of $1,000 and above to Scripps Health Greatest Needs, you will join our Scripps President鈥檚 Council and receive a variety of benefits including a complementary parking card.</p> </div> <div id="funds"> <label for="designation" class="adfFormLabel">Designation</label> <select id="designation" name="designation" class="adfSelect form-control required" required=""> <option value="-1" selected="" />Select a Designation <option value="7190F2B2-292C-4C70-BDCC-F348206AEF0E" />Scripps Health Greatest Needs <option value="8f4b37ce-1779-47e1-8296-aa83e9aaf87c" />Scripps Health Here For Good Capital Campaign <option value="3c847473-798b-4617-a841-c5911bcad04c" />Scripps Clinic <option value="0138dc1b-2125-4a3c-a236-be8e61779275" />Scripps Memorial Hospital Encinitas <option value="8565c48b-c810-4bc0-8435-39ebe3511254" />Scripps Mercy Hospital, Chula Vista <option value="2add2dbb-ef4c-4807-9039-d840f782be9d" />Scripps Mercy Hospital, San Diego <option value="2d3278dd-76ae-4856-9b27-173a818b21b0" />Scripps Memorial Hospital La Jolla <option value="c19794cf-74f5-4de3-b32f-998195e6e63c" />Scripps Green Hospital <option value="a59a2529-cf6d-4549-9b09-089f02c9905b" />Scripps Cancer Center Greatest Needs <option value="92de0f6b-ea85-484c-98fe-c5f9f70b4553" />Scripps Cancer Center Capital and Equipment <option value="ad1dcc60-0eb3-41f5-b057-395981d0f63c" />Scripps Whittier Diabetes Institute <option value="66ef0cd6-2939-4a56-80f7-4fac31d36984" />Scripps Mercy Outreach Surgical Team (M.O.S.T.) <option value="71a9343c-1e4f-4366-b290-c99fd3314f08" />Scripps Clinical Research <option value="GUID: 2133bb91-548c-4c72-b953-a09275a361eb" />Scripps Graduate Medical Education <option value="d8e096e8-6501-436d-9a9d-8b73c615b7c0" />Other </select> </div> <div id="otherSection" class="hidden"> <div class="row"> <div class="g-12"> <label for="otherDesignation" class="adfFormLabel">Other Designation</label> <input id="otherDesignation" class="adfInput form-control required" type="text" placeholder="Other Designation" required="" /> <p class="note"><span class="fas fa-info-circle"></span>Please call <a href="tel:+18444424483">844-442-GIVE</a> (4483) or email <a href="mailto:SHF@scrippshealth.org">SHF@scrippshealth.org</a> if your designation is not listed or if you have any questions.</p> </div> </div> </div> </fieldset> <fieldset class="form-group"> <legend><h3 class="remove-top">Donation Type</h3></legend> <div id="giftType" class="button-group"> <label for="oneTime" class="btn active"><input id="oneTime" class="one-time sr-only" name="giftType" value="One Time" type="radio" />One Time</label> <label for="recurringGift" class="btn"><input id="recurringGift" class="recurring sr-only" name="giftType" value="Recurring" type="radio" />Monthly</label> <label for="pledgeGift" class="btn"><input id="pledgeGift" class="pledge-installments sr-only" name="giftType" value="Pledge Installments" type="radio" />Pledge</label> </div> <div id="recurringSection" class="hidden"> <div class="row"> <div class="g-1-3 remove-bottom"> <label class="adfFormLabel" for="recurringStartDate">Start Date</label> <input id="recurringStartDate" class="adfInput form-control required" required="" type="date" placeholder="mm/dd/yyyy" /> </div> <div class="g-1-3 remove-bottom"> <label class="adfFormLabel" for="recurringDayOfMonth">Day of Month</label> <select id="recurringDayOfMonth" class="adfSelect form-control required" required=""> <option value="1" />1st of the month <option value="15" />15th of the month </select> </div> <div class="g-1-3 remove-bottom"> <label class="adfFormLabel" for="recurringEndDate">End Date (optional)</label> <input id="recurringEndDate" class="adfInput form-control" type="date" placeholder="mm/dd/yyyy" /> </div> <div class="clear"></div> </div> <p id="recurringSummary" class="note" /> </div> <div id="pledgeSection" class="hidden"> <div class="row"> <div class="g-1-2 remove-bottom"> <label class="adfFormLabel" for="pledgeFrequency">Frequency</label> <select id="pledgeFrequency" class="adfSelect form-control required" required=""> <option value="-1" />Select Frequency <option value="2" />Monthly <option value="3" />Quarterly <!-- <option value="4">Annually</option> --> </select> </div> <div class="g-1-3 remove-bottom hidden"> <label class="adfFormLabel" for="pledgeInstallments">Installments</label> <input id="pledgeInstallments" class="adfInput form-control required" required="" type="number" min="2" step="1" maxlength="2" placeholder="# of installments" disabled="" /> </div> <div class="g-1-2 remove-bottom"> <label class="adfFormLabel" for="pledgeStartDate">Start Date</label> <input id="pledgeStartDate" class="adfInput form-control required" type="date" placeholder="mm/dd/yyyy" /> </div> <div class="hidden"> <label class="adfFormLabel" for="pledgeEndDate">End Date</label> <input id="pledgeEndDate" class="adfInput form-control required" type="date" placeholder="mm/dd/yyyy" required="" /> </div> </div> <div class="row"> <div class="g-1-3 remove-bottom hidden"> <label class="adfFormLabel" for="month">Month</label> <select id="month" class="adfSelect form-control required" required=""> <option value="-1" />Month <option value="1" />January <option value="2" />February <option value="3" />March <option value="4" />April <option value="5" />May <option value="6" />June <option value="7" />July <option value="8" />August <option value="9" />September <option value="10" />October <option value="11" />November <option value="12" />December </select> </div> </div> <p id="installAmount" class="note" /> </div> </fieldset> <fieldset class="form-group"> <legend><h3 class="remove-top">Donation Options</h3></legend> <div class="checkbox"> <input id="anonymous" class="sr-only" type="checkbox" /> <label for="anonymous" class="adfFormLabel">I would like to donate anonymously</label> </div> <div class="checkbox"> <input id="tribute" class="sr-only" type="checkbox" /> <label for="tribute" class="adfFormLabel">Make this donation a tribute</label> </div> <div class="checkbox"> <input id="cbxcorp" class="sr-only" type="checkbox" /> <label for="cbxcorp" class="adfFormLabel">Give on behalf of a company</label> </div> <div id="honoreeSection" class="hidden"> <p class="note"><span class="fas fa-info-circle"></span><strong>What is a tribute donation?</strong><br />A special way to recognize someone who has made a meaningful impact on your life or your health: a physician, nurse, caregiver, friend or family member. You can also make your gift in memory of someone special.</p> <div id="tributeType" class="button-group" data-for="inMemoryOf"> <label for="inHonorOf" class="btn active"> <input id="inHonorOf" class="sr-only" name="amt" value="in honor of" type="radio" checked="checked" /> In honor of </label> <label for="inMemoryOf" class="btn"> <input id="inMemoryOf" class="sr-only" name="amt" value="in memory of" type="radio" /> In memory of </label> </div> <div class="row"> <div class="g-1-2"> <label for="tributeFirstName" class="adfFormLabel">Honoree First Name</label> <input id="tributeFirstName" class="adfInput form-control" type="text" placeholder="First Name" /> </div> <div class="g-1-2"> <label for="tributeLastName" class="adfFormLabel">Honoree Last Name</label> <input id="tributeLastName" class="adfInput form-control required" type="text" placeholder="Last Name" required="" /> </div> </div> <div class="row"> <div class="g-12"> <label for="tributeComments" class="adfFormLabel">Special Message</label> <textarea id="tributeComments" class="adfText form-control" placeholder="Special Message" maxlength="250"></textarea> <p class="char-counter remove-bottom"><span>250</span> characters left</p> </div> </div> <div class="row"> <div class="g-12 remove-bottom"> <div class="checkbox"> <input type="checkbox" id="ackLetter" /> <label for="ackLetter" class="adfFormLabel">Send tribute notification</label> </div> </div> </div> </div> <div id="acknowledgeeSection" class="hidden"> <div class="row"> <div class="g-1-2 remove-bottom"> <label for="acknowledgeeFirstName" class="adfFormLabel">Recipient First Name</label> <input id="acknowledgeeFirstName" class="adfInput form-control" type="text" placeholder="First Name" /> </div> <div class="g-1-2 remove-bottom"> <label for="acknowledgeeLastName" class="adfFormLabel">Recipient Last Name</label> <input id="acknowledgeeLastName" class="adfInput form-control required" type="text" placeholder="Last Name" required="" /> </div> </div> <div class="row"> <div class="g-12"> <label for="tributeLocation" class="adfFormLabel">Scripps Health Location</label> <input id="tributeLocation" class="adfInput form-control" type="text" placeholder="Location" /> </div> </div> <div class="row"> <div class="g-12 remove-bottom"> <div class="checkbox"> <input type="checkbox" id="noAckAddress" /> <label for="noAckAddress" class="adfFormLabel">I don't know the address</label> </div> </div> </div> <div id="ackAddressBlock"> <div class="row"> <div class="g-1-3 remove-bottom"> <label for="acknowledgeeAddress" class="adfFormLabel">Address</label> <input id="acknowledgeeAddress" class="adfInput form-control required" type="text" placeholder="Street Address" required="" /> </div> <div class="g-1-3 remove-bottom"> <label for="acknowledgeeCity" class="adfFormLabel">City</label> <input id="acknowledgeeCity" class="adfInput form-control required" type="text" placeholder="City Name" required="" /> </div> <div class="g-1-3 remove-bottom"> <label for="acknowledgeeZip" class="adfFormLabel">ZIP/Postal Code</label> <input id="acknowledgeeZip" class="adfInput form-control required" type="text" maxlength="10" placeholder="ZIP/Postal Code" required="" /> </div> </div> <div class="row"> <div class="g-1-2 remove-bottom"> <label for="acknowledgeeCountry" class="adfFormLabel">Country</label> <select id="acknowledgeeCountry" class="adfSelect form-control required" required=""> <option value="-1" selected="" />Country </select> </div> <div class="g-1-2 remove-bottom"> <label for="acknowledgeeState" class="adfFormLabel">State/Territory</label> <select id="acknowledgeeState" class="adfSelect form-control required" required=""><option value="-1" />State/Territory </select> </div> </div> </div> </div> </fieldset> <fieldset class="form-group" id="billingInfo"> <legend><h3>Billing Information</h3></legend> <div class="row"> <div class="g-1-3 remove-bottom"> <label for="personalTitle" class="adfFormLabel">Title</label> <select id="personalTitle" class="adfSelect form-control"> <option value="-1" selected="" />Title </select> </div> <div class="g-1-3 remove-bottom"> <label for="personalFirstName" class="adfFormLabel">First Name</label> <input id="personalFirstName" class="adfInput form-control required" type="text" placeholder="First Name" required="" /> </div> <div class="g-1-3 remove-bottom"> <label for="personalLastName" class="adfFormLabel">Last Name</label> <input id="personalLastName" class="adfInput form-control required" type="text" placeholder="Last Name" required="" /> </div> </div> <div class="row"> <div class="g-12 remove-bottom"> <label for="companyName" class="adfFormLabel">Company Name</label> <input id="companyName" class="adfInput form-control" type="text" placeholder="Company Name" /> </div> </div> <div class="row"> <div class="g-1-3 remove-bottom"> <label for="personalAddress" class="adfFormLabel">Address</label> <input id="personalAddress" class="adfInput form-control required" type="text" placeholder="Address" required="" /> </div> <div class="g-1-3 remove-bottom"> <label for="personalCity" class="adfFormLabel">City</label> <input id="personalCity" class="adfInput form-control required" type="text" placeholder="City" required="" /> </div> <div class="g-1-3 remove-bottom"> <label for="personalZip" class="adfFormLabel">ZIP/Postal Code</label> <input id="personalZip" class="adfInput form-control required" type="text" maxlength="10" placeholder="ZIP/Postal Code" required="" /> </div> </div> <div class="row"> <div class="g-1-2 remove-bottom"> <label for="personalCountry" class="adfFormLabel">Country</label> <select id="personalCountry" class="adfSelect form-control required" required=""> <option value="-1" selected="" />Country </select> </div> <div class="g-1-2 remove-bottom"> <label for="personalState" class="adfFormLabel">State/Territory</label> <select id="personalState" class="adfSelect form-control required" required=""> <option value="-1" selected="" />State/Territory </select> </div> </div> <div class="row"> <div class="g-1-2 remove-bottom"> <label for="personalPhone" class="adfFormLabel">Phone Number</label> <input id="personalPhone" class="adfInput form-control" type="tel" placeholder="Phone Number" /> </div> <div class="g-1-2 remove-bottom"> <label for="personalEmail" class="adfFormLabel">Email Address</label> <input id="personalEmail" class="adfInput form-control required" type="email" placeholder="Email Address" required="" /> </div> </div> </fieldset> <div class="row"> <div class="g-12 remove-bottom"> <p class="error hidden"> </p> <input type="submit" id="adfSubmit" value="Make my Donation" /> </div> </div> </div> <div id="adfConfWrapper" class="hidden"></div> <!--begin adf dependencies--> <script src="/file/jquery.placeholder.min.js"></script> <script src="/file/adf/adf.js"></script> <!--end adf dependencies--> </div> </div> </div> </div> </div> </div> </section> <!--end content--></main><!--end wrapper--><!--begin custom scripts--> <p> 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